SECOND CHANCE RECOVERY HOUSE LLC
NPI 1407588064
Clinic/Center - Mental Health (Including Community Mental Health Center) in Glen Burnie, MD

Active since June 30, 2022
1410 CRAIN HWY N STE 5B, GLEN BURNIE, MD 21061(410) 903-8710 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Second Chance Recovery House Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SECOND CHANCE RECOVERY HOUSE LLC (NPI 1407588064) is a healthcare organization registered as a mental health (including community mental health center) in Glen Burnie, Maryland and active in the NPI registry since June 2022. The organization lists Litra Simms, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407588064
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSECOND CHANCE RECOVERY HOUSE LLC
Location Address1410 CRAIN HWY N STE 5BGlen Burnie, MD 21061-9304
Mailing Address1410 Crain Hwy N Ste 5bGlen Burnie, MD 21061-9304
Organization SubpartYes
Authorized OfficialLitra SimmsCeo · (410) 903-8710
Enumeration DateJune 30, 2022
NPPES CertifiedJune 22, 2022
✔ NPI 1407588064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1410 CRAIN HWY N STE 5B, Glen Burnie, MD 21061

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Second Chance Recovery House Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Second Chance Recovery House LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1558967653
1410 CRAIN HWY N STE 5B
Glen Burnie, MD 21061
(410) 903-8710
✔ PECOSSame address
Nurse Practitioner
NPI 1881394773
3310 EASTERN AVE
Baltimore, MD 21224
(667) 239-2977
✔ PECOS✔ Accepts Medicare7.3 mi
Mental Health Counselor
NPI 1316700487
1409 S SEWARDS CT
Aberdeen, MD 21001
(240) 583-0728
✔ PECOS✔ Accepts Medicare30 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Second Chance Recovery House LLC's NPI number?

The NPI number for Second Chance Recovery House LLC is 1407588064. It was assigned to this organization in the NPPES registry on June 30, 2022.

Where is Second Chance Recovery House LLC located?

Second Chance Recovery House LLC is located at 1410 Crain Hwy N Ste 5B, Glen Burnie, MD 21061. The listed phone number is (410) 903-8710.

What is Second Chance Recovery House LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Second Chance Recovery House LLC enrolled in Medicare?

Yes. Second Chance Recovery House LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Second Chance Recovery House LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Second Chance Recovery House LLC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Second Chance Recovery House LLC was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.